Individual
XIAO RONG LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 - 14 COTTMAN AVENUE, PHILADELPHIA, PA 19149
(215) 618-9888
(215) 725-7800
Mailing address
2900 - 14 COTTMAN AVENUE, PHILADELPHIA, PA 19149
(215) 618-9888
(215) 725-7800
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
317214
PA
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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